Individual provider Active NPI

Stephen Kyle Rogers, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1609879675
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01054781A Issued in IN
Practice address
3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone
(317) 291-7422
Fax
(317) 291-7433
NPI assigned
May 24, 2005
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01054781A IN Primary

Addresses

Primary practice location

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147

Mailing address

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone (317) 291-7422

Other practice location 1

716 S College Ave
Rensselaer, IN 47978-3083
Phone (219) 866-0485

Other identifiers 5

IdentifierTypeStateIssuer
000000296595OtherANTHEM BLUE CROSS
P00018889OtherRAILROAD MEDICARE
020300900OtherFEDCERAL BLACK LUNG
200283830MedicaidIN
7641531OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000714 IN Practitioner - Family Practice 2567591019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shalom Health Care Center IncGroup PAC ID 3779471750, 5 clinicians
Christian Clinic PCGroup PAC ID 1759682552, 3 clinicians

Practice addresses (Care Compare)

3400 Lafayette Rd
Suite 200
Indianapolis, IN 46222-1147
Phone (317) 291-7422

716 S College Ave
Rensselaer, IN 47978-3083
Phone (219) 866-0485

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper County After Hours Urgent Care Inc CurrentSince Sep 26, 2023 Accepting new patients
Shalom Health Care Center, Inc. Family Medicine CurrentSince Jan 28, 2026 Accepting new patients
Shalom Health Care Center, Inc. Past Accepting new patients

Locations

3400 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 293-4113

3400 Lafayette Rd
Ste 200
Indianapolis, IN 46222
Phone (317) 829-5747

5750 W 56th St
Indianapolis, IN 46254
Phone (317) 291-1411

5801 E 30th St
#99
Indianapolis, IN 46218
Phone (317) 226-4299

9240 N Meridian St
Ste 180
Indianapolis, IN 46260
Phone (317) 582-1100

716 S College Ave
Rensselaer, IN 47978
Phone (219) 866-0485

718 S College Ave
Rensselaer, IN 47978
Phone (219) 866-0485

919 E Grace St
Rensselaer, IN 47978
Phone (219) 866-0411

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1609879675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LAFAYETTE RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221147",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LAFAYETTE RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221147",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "IN",
            "postal_code": "479783083",
            "country_code": "US",
            "telephone_number": "219-866-0485",
            "fax_number": "219-866-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "STEPHEN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054781A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000296595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00018889",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDCERAL BLACK LUNG",
            "identifier": "020300900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200283830",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7641531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.